Tumor Tip of the Week-09-22-2023 New Instructions for SSDI FIGO

Scenario:2023

• TAH, BSO unsuccessful lymph node mapping and comprehensive staging not performed -Endometrial adenocarcinoma, endometrioid type limited to endometrium (30%) depth of myometrial invasion (FIGO Grade 2) Peritoneal cytology not done.
• CT Ab/Pelvis-showed no lymphadenopathy or distant mets
• Gyn Onc: Stage 1A

Question: How would you code the SSDI FIGO Stage Corpus Carcinoma and Carcinosarcoma?

• 1A FIGO Stage IA
• 2 FIGO Stage II
• 99 Not documented in medical record FIGO stage not assessed or unknown if assessed

Answer: 99 Not documented in medical record FIGO stage not assessed or unknown if assessed

Rationale: There was a change to this field in the SSDI Version 3.0 Instructions. Be sure to note the Change Log for v3.0 Changes to the SSDI & Grade Manual. Once your software has been updated to v3.0, follow the new instructions. You can no longer assume if a stage group is stated it is a FIGO Stage & code it, the physician must state it’s a FIGO stage. https://apps.naaccr.org/ssdi/list/

SSDI Manual V3.0- FIGO Stage Corpus Carcinoma and Carcinosarcoma

• Note 1: There must be a statement about FIGO stage from the managing physician in order to code this data item.

• Do not code FIGO stage based on the pathology report
• Do not code FIGO stage based only on T, N, M
• If “FIGO” is not included with a stated stage, then do not assume it is a FIGO stage

• Note 2: FIGO stage is not the same thing as FIGO grade. Only code FIGO stage in this field, do not code FIGO grade.

• Code FIGO grade in the grade fields